| NPI | 1508443425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C2-0025008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0106572) |
| 207R00000X Internal Medicine (Licence: MD H0106572) | |
| 207R00000X Internal Medicine (Licence: DE C2-0025008) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-08-03 |